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Miles手术是治疗下段直肠癌和肛管癌的标准术式。1995年以来,我们在Miles手术中省略了重建骨盆盆底腹膜这一步骤,并将小肠人工排列后置于盆底,与传统的Miles手术相比,取得了满意效果。 1 对象和方法 1.1 对象和分组 1995年2月至2000年10月施行Miles手术32例,男10例,女22例,年龄42～70岁,均采用不缝合骨盆盆底腹膜并肠排列,称为A组。选取1995年以前Miles手术重建骨盆盆底腹膜缝合法共32例,称为B组。两组在年龄、性别、肿瘤部位、分期等自然情况方面无统计
Miles surgery is the standard procedure for the treatment of lower rectal cancer and anal canal cancer. Since 1995, we have omitted the step of reconstructing the pelvic pelvic peritoneum in Miles surgery, and placed the small intestine artificially in the pelvic floor. Compared with the traditional Miles surgery, we achieved satisfactory results. 1 Subjects and methods 1.1 Subjects and subgroups From February 1995 to October 2000, Miles was performed in 32 patients, including 10 males and 22 females, aged 42-70 years. All of them were performed using a non-stitched pelvic pelvic peritoneum and intestines. For group A. A total of 32 cases of pelvic floor peritoneal sutures were reconstructed by Miles’ surgery before 1995, which was called group B. The two groups have no statistics on the natural conditions such as age, gender, tumor site, stage, etc.